Which of the following interventions is most appropriate for a patient that gets 30 points on the Morse Fall Scale? (Select All that Apply.)

Allowing the patient to ambulate independently

Administering a sedative to keep the patient calm

Placing the patient in restraints

Implementing a fall prevention protocol

Educating the patient on using the call light system

Answer and Explanation

Correct Answer : D,E

A. Allowing the patient to ambulate independently: This intervention is not appropriate for a patient who scores 30 points on the Morse Fall Scale, which indicates a high risk of falling. The patient should be monitored closely and assisted with ambulation to prevent falls.

B. Administering a sedative to keep the patient calm: While it may be important to keep the patient calm, using sedatives should be approached with caution, as they can increase the risk of falls and impair judgment and coordination. This intervention is not the most appropriate approach to fall prevention.

C. Placing the patient in restraints: Restraints should be used only as a last resort and only when necessary to prevent harm to the patient or others. Using restraints can lead to physical and psychological harm and should not be the primary intervention for fall prevention.

D. Implementing a fall prevention protocol: This is the most appropriate intervention for a patient with a high risk of falling. A fall prevention protocol may include measures such as ensuring a clear path, using assistive devices, and conducting regular assessments of the patient's mobility and safety.

E. Educating the patient on using the call light system: This intervention is important for ensuring the patient feels safe and can call for assistance when needed. Educating the patient on the call light system promotes communication and can help prevent falls by encouraging the patient to seek help when they need to move or ambulate.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Convey empathy for a client who voices painful emotions: Demonstrating empathy is essential for building trust and rapport with clients. Acknowledging and validating a client's feelings can enhance communication and provide emotional support during difficult times.

B. Show respect for a client who is making decisions about treatment: Respecting a client's autonomy and their ability to make informed decisions about their treatment is vital in healthcare communication. This approach fosters a collaborative relationship and encourages clients to engage in their care.

C. Exhibit receptive body language when discussing difficult topics: Nonverbal communication plays a significant role in how messages are received. Exhibiting open and receptive body language, such as maintaining eye contact and adopting an open posture, can help create a supportive environment for discussing challenging subjects.

D. Speak to a client using clear and simple words and phrases: Using clear and straightforward language is important for ensuring that clients understand information about their care. Avoiding jargon and complex terminology can help facilitate effective communication, particularly with clients who may have limited health literacy.

E. Interrupt a client when they are verbalizing feelings of worthlessness. Cross both arms across the chest when speaking with an angry client: Interrupting a client can be disrespectful and hinder effective communication. Additionally, crossing arms may be perceived as defensive or closed-off body language, which can escalate tensions rather than promote open dialogue. These actions do not contribute to enhancing communication with clients.

A. Reduced chest width B. Decreased muscle mass C. Thickened vertebral disks D. Increased force of isometric contraction

Correct Answer is B

Explanation

A. Reduced chest width: While aging can lead to changes in the thoracic cavity, such as a decreased ability to expand the chest due to loss of elasticity in lung tissue, reduced chest width is not a primary musculoskeletal change associated with aging. The focus should be on musculoskeletal changes rather than respiratory or thoracic changes.

B. Decreased muscle mass: This is a significant and well-documented age-related change in the musculoskeletal system. Sarcopenia, or the loss of muscle mass and strength with aging, affects mobility and function in older adults. This change should be included in the presentation as it is relevant to the musculoskeletal system and impacts overall health and activity levels.

C. Thickened vertebral disks: With aging, vertebral disks typically degenerate and lose hydration, which can lead to thinning rather than thickening. This degeneration contributes to decreased height and may increase the risk of spinal issues, so thickening is not an accurate representation of age-related changes.

D. Increased force of isometric contraction: Aging generally leads to a decrease in muscle strength and function, including the force of isometric contractions. This decline can affect the ability to perform daily activities and maintain independence, making this statement inaccurate in the context of age-related changes.

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Which of the following interventions is most appropriate for a patient that gets 30 points on the Morse Fall Scale? (Select All that Apply.)

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